HomeMy WebLinkAbout05-21-07 (2)
-.J
15056051047
REV-1500 EX (06-05)
PA Department of Revenue '*
Bureau of Individual Taxes .
PO BOX 280601
Harrisburg, PA 17128-0601
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death
INHERITANCE TAX RETURN
RESIDENT DECEDENT
OFFICIAL USE ONLY
County Code Year
2. ( Ou
File Number
O().s"'/{
Date of Birth
/tfo I 6 / f &'3
O~ oqz. 0 O.lP
02.IIIQz4
Decedent's Last Name
Suffix
Decedent's First Name
MI
MOWE-f<.
:To
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix
First Name
MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
_ 1. Original Return
c::>
2. Supplemental Return
c::>
3. Remainder Return (date of death
prior to 12-13-82)
5. Federal Estate Tax Return Required
c::>
4. Limited Estate
c::>
c::>
c::> 4a. Future Interest Compromise (date of
death after 12-12-82)
c::> 7. Decedent Maintained a Living Trust
(Attach Copy of Trust)
c::> 10. Spousal Poverty Credit (date of death c::> 11. Election to tax under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach Sch. 0)
CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
6. Decedent Died Testate
(Attach Copy of Will)
9. Litigation Proceeds Received
8. Total Number of Safe Deposit Boxes
c::>
'/'HI)MA 5
I?
BA-UM G ..,4.. ~ D f'lE. f<..
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333
Firm Name (If Applicable)
REGISTE
First line of address
'80'30
bE rTY '5 I3U I{ G
I<D
Second line of address
City or Post Office
State
ZIP Code
Correspondent's e-mail address:bvI.YJl.11yb@A-OL.COM
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief,
it i e, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
PERS DATE
_~l1 cJ 1
/'4 /70S5'
DATE
O-:r- - ZO -200 7
GbrrySBtlK.G
Rt> CA-MI' #/L-L P/l /70 II
PLEASE USE ORIGINAL FORM ONLY
Side 1
L
15056051047
15056051047
--.J
~
~
-.J
15056052048
REV-1500 EX
Decedent's Name'
Decedent's Social Security Number
I t( 0 I b 1.8 6,:3
RECAPITULATION
1. Real estate (Schedule A).
. . . . . . . . .. 1.
2. Stocks and Bonds (Schedule B) . .
.... ..... .. 2.
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) . . 3.
4. Mortgages & Notes Receivable (Schedule D) . . . . . . . . . . . . . . . . . . . . . . . 4.
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) . . 5.
6. Jointly Owned Property (Schedule F) c::J Separate Billing Requested . . . . . .. 6.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) c::J Separate Billing Requested. . 7.
8. Total Gross Assets (total Lines 1-7).
8.
I
9. Funeral Expenses & Administrative Costs (Schedule H). . . . . . .
9.
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) . . .
. . 10.
11. Total Deductions (total Lines 9 & 10)..... . .. .... .. ...... ...... ...... ... 11.
12. Net Value of Estate (Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12.
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) . . . . . . . . . . . . . . . . . . . . . . . . 13.
14. Net Value Subject to Tax (Line 12 minus Line 13) . . . . . . . . . . . . . . . . . . . . . . . . 14.
73
I I ~. ;t
g~Jf.()O
II 790q /.41f
TAX COMPUTATION - SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2) X .0_
16. Amount of Line 14 taxable
at lineal rate X.O II
17. Amount of Line 14 taxable
at sibling rate X .12
18. Amount of Line 14 taxable
at collateral rate X .15
.
15.
I / 71 0 q i
1./.4
16.
.
17.
18.
.
19. TAX DUE. . . . . . . . . . . .
. . . . . . . . . 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Side 2
ClyL
\:'f
15056052048
1.4.... 1.4q
7
c::J
15056052048
-1
REV-1500 EX Page 3
File Number
Decedent's Complete Address:
DECEDENT'S NAME
,jOHN {If M(J We-P..
STREET ADDRESS
129 W, PO/<.rLItIJD A-VE.
ZIOb -e>S-1 /
CITY
M ECH-AN tc,"3I3C1 R G.
STATE
f?A
ZIP
/70S'~
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
/4 I. tftfl) , <( 7
l~ 1,/S-8 ..~2
7107~, ~s-
Total Credits ( A + B + C ) (2)
3. InteresUPenal1y if applicable
D. Interest
E. Penalty
397S
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
(3) 3947 ~
(4) 321::'7.90
(5)
(5A) 591.$'
(5B) Jzq],fI75'"
Total InteresUPenalty ( 0 + E )
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in oval on Page 2, line 20 to request a refund.
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred;.......................................................................................... D ~
b. retain the right to designate who shall use the property transferred or its income; ............................................ D ~
c. retain a reversionary interest; or.......................................................................................................................... D ~
d. receive the promise for life of either payments, benefits or care? .................................................................... D 129
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? .............................................................................................................. ~ D
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. D ~
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ........................................................................................................................ I8J D
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse
is three (3) percent [72 P.S. ~9116 (a) (1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent
[72 P.S. ~9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and
filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an
adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. ~9116(a)(1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent, except as noted in
72 P.S. ~9116(1.2) [72 P.S. ~9116(a)(1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. ~9116(a)(1.3)]. A sibling is defined, under
Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
REV-15m'! EX+ (6-98)
'~ . .
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE A
REAL ESTATE
ESTATE OF
JOHN N MOWER
FILE NUMBER
2106-0511
All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be
exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts.
Real property which Is Jointly-owned with right of l\urvlvorshlp must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
Two bedroom condominium located at
128 W. Portland Ave.
Mechanicsburg, PA 17055
$74,500.00
TOTAL (Also enter on line 1, Recapitulation) $ 74 , 500 . 00
(If more space is needed, insert additional sheets of the same size)
. A. Settlement Statement
U.S. Department of Housing
and Urban Development
~
,r
B. T pe of Loan
1. 0 FHA 2. 0 FmHA 3. 0 Conv. Unins. 6. File Number
4. 0 VA 5. I&J Conv. Ins.
OMS Approval No. 2502-0265
7. Loan Number
8. Mortgage Insurance Case Number
0203979703
C. Note: This form is fumished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are
shown. Items marked "(p.o.c.)" were paid outside closing; they are shown here for informational purposes and not
included in the totals.
D. Name and Address of Borrower E. Name and Address of Seller F. Name and Address of Lender
HOllY D. GEESEY
PHYLLIS L. BAUMGARDNER,
EXECUTRIX
ESTATE OF JOHN N. MOWER
MEMBERS 1ST
FEDERAL CREDIT UNION
5000 lOUISE DRIVE
MECHANICSBURG PA 17055
H.SettlementAgent MEMBERS 1ST SETTLEMENT SERVICES, LLC
20 S. BALTIMORE STREET
FRANKLlNTOWN PA 17323
G. Property Location
TAX PARCEL NO. 19-22-0519-057.U1287
128 W. PORTLAND ST., #7
MECHANICSBURG
Place of Settlement
I. Settlement Date
PA 17055
5000 lOUISE DRIVE
MECHANICSBURG
PA 17055
8/18/2006
Disbursement Date
Lot:
Block:
J. Summary of Borrower's Transaction
100. Gross Amount Due From Borrower
101. Contract sales price
102. Personal prope
103. Settlement char es to borrower (line 1400
104.
105.
K. Summary of Seller's Transaction
400. Gross Amount Due To Seller
74,500.00401. Contractsales rice
402. Personal rope
2,144.60 403.
404.
405.
74,500.00
Adjustments for items paid by seller In advance
106. Ci /town taxes to
107. Coun taxes 8/18/2006 to 12/31/2006
108. Assessments to
109. SCHOOL TAX 8/18/2006 to 6/30/2007
110. to
111. H.O. DUES 8/18/2006 to 8/31/2006
to
to
Adjustments for items paid by seller In advance
406. Ci /town taxes to
125.53 407. Coun taxes 8/18/2006 to 12/31/2006
408. Assessments to
818.26 409. SCHOOL TAX 8/18/2006 to 6/30/2007
~Q to
31.45411. H.O. DUES 8/18/2006 t08/31/2006
412. to
30.38 413. SEWER! 8/18/2006 to 9/30/2006
414. REFUSE to
415. to
77,650.22 420. Gross Amount Due To Seller
SOO. Reductions In Amount Due To Seller
1 000.00 501. Excessdeoosit (seeinstructions1
74,500.00 502. Settlementcharaes to seller (line 14001
503. Existing loan(s) taken subject to
504. Pavoff of first mortgage loan
505. Pavoff of second mortgaae loan
506.
2,000.00 507. SELLER ASSISTANCE
508.
509.
Adjustments for Items unpaid bv seller
510. City/town taxes to
511. County taxes to
125.53
818.26
112.
113. SEWER!
114. REFUSE
115.
31.45
to
8/18/2006 to 9/30/2006
30.38
120. Gross Amount Due From Borrower
75,505.62
200. Amounts Paid Bv Or In Behalf Of Borrower
201. Deposit or earnest money
202. Principal amount of new loan(s)
203. Existing loan(s) taken subject to
204.
205.
206.
207. SELLER ASSISTANCE
208.
209.
Adjustments for items unpaid bv seller
210. Citvltown taxes to
211. County taxes to
1,000.00
835.00
2,000.00
212. Assessments
213.
214.
to
to
to
512. Assessments to
513. to
514. to
515. to
516. to
517. to
518. to
519. to
215. to
216. to
~~---------~---------_._-----_._----
218. to
219. to
220. Total Paid By/For Borrower
77,500.00 520. Total Reduction Amount Due Seller
600. Cash At Settlement To/From Seller
77 650.22 601. Gross amount due to seller (line 420)
77,500.00) 602. Less reductions in am!. due seller (line 520)
3,835.00
300. Cash At Settlement FromlTo Borrower
301. Gross Amount due from borrower (line 120)
302. Less amount paid by/for borrower (line 220)
303. Cash
I&J From
o To Borrower
150.22 603. Cash
I&J To
o From Seller
75,505.62
3,835.00)
71,670.62
SUBSTITUTE FORM 1099 SELLER STATEMENT
The information contained in Blocks E, G, H, and I and on line 401 (or, line 403 and 404) is important tax information and is being furnished to the Internal Revenue
Service. If you are required to file a return, a negligence penalty or other sanction will be impoSed on you if this item is required to be reported and the IRS determines
that it has not been reported. If this real estate is your principal residence, file Form 2119, Sale or Exchange of Principal Residence, for any gain, with your income tax
return; for other transactions, complete the applicable parts of Form 4797, Form 6232 and/or Schedule D, Form 1040). You are required to provide the Settlement Agent
(named above) with your correct taxpayer identification number. If you do not provide the Settlement Agent with your correct taxpayer identification number, you may be
subject to civil or criminal penalties imposed by law. Under penalties of perjury, I certify that the number shown on this statement is my correct taxpayer identification number.
(Seller's Signature)
L Settlement Charges
700. Total Sales/Broker's Commission based on price $ 74,500.00@ %= Paid From Paid From
Division of Commission (line 700) as follows: Borrower's Seller's
Funds At Funds At
701. $ to Settlement Settlement
702. $ to
703. Commission paid at Settlement
704.
BOOlte P bllC
tI With L
ms aya e n onnec on oan
801. Loan Origination Fee 74,500.00 % EMPLOYEE DISCOUNT -745.00
802. Loan Discount 74,500.00 %
803. Appraisal Fee to
804. Credit Report to
805. Lender's Inspection Fee
806. Mortgage Insurance Application Fee to
807. Assumption Fee
808. APPLICATION FEE MEMBERS 1ST 250.00
809. UNDERWRITING FEE MEMBERS 1ST 75.00
810. DOCUMENT PREP FEE MEMBERS 1ST 275.00
811.
812.
813.
900. Items Required By Lender To Be Paid In Advance Exclude last day in cales - line 901
901. Interest from 8/18/2006 to 8/31/2006 @$14.7448 /dav 206.43
902. Mortgage Insurance Premium for " months to
903. Hazard Insurance Premium for years to
904. years to
905.
1000. Reserves Deposited With Lender
1001. Hazard insurance
1002. Mortgage insurance
1003. City prope taxes
1004. Coun prope taxes 7
1005. Annual assessments
1006. SCHOOL TAX 3
1007.
months@$ per month
months@$ er month
months@$ per month
months $ 28.28 er month
months@$ per month
months@$ 78.76 per month
months@$ er month
197.96
236.28
-113.07
1103. Title examination
1104. Title insurance binder
1105. Document reparation
1106. Nota fees
1107. Attomey's fees
(Includes above items numbers:
1108. Title insurance
Includes above items numbers:
1109. Lender's'coverage
1110. Owner's coverage
1111.
1112.
1113.
1200. Government Recording and Transfer Charges
1201. Recording fees: Deed $ 38.50 ; Mort a e $ 70.50 ; Releases $
1202. City/county tax/stamps: Deed $ 745.00 ; Mort age $
1203. State tax/stam s: Deed $ 745.00 ; Mortga e $
to
to
to
to
to MURREL R. WALTERS, III, ESQUIRE
to CASH
75.00
10.00
to
to MURREL R. WALTERS, III, ESQUIRE
1101-1104,1108 PENN ATTORNEYS TITLE INS. CO.
$ 74,500.00 endorsements 100,300,8.1
$ 74,500.00 and 800
833.00
109.00
745.00
745.00
1204.
1205.
1300. Additional Settlement Charges
1301. Surve
to
to
1302. Pest inspection
1303.
1304. ASSOCIATION DUES - SEPT.
PORTLAND COURT CONDOMINIUM
75.00
1305.
1306. TAX CERTIFICATION FEE
BARRY L. HECKARD
5.00
1307.
1308.
1400. Total Settlement Charges (enter on lines 103, Section J and 502, Section K)
CERTIFICATION
e carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and bell
account or by' e' this transaction. I further certify that I have received a copy of the HUD-1
I
2 144.60
835.00
Borrower
Borrower
were received and have been or will
Settlement Agent
Date
MEMBERS 1 ST SETTLEMENT SERVICES, LLC
WARNING: It is a crime to knowingly make false statements to the United States on this or any other similar form. Penalties upon conviction can include a fine and
it!!prisonmjJnt. For details see: Title 18 U.S. Code Section 1001 and Section 1010.
U.S. GOVERNMENT PRINTING OFACE: 1919ll-944-245
a<~Q'_ ..
SCHEDULE B
STOCKS & BONDS
COMMONWEAlTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
81 DE
ESTATE OF
FILE NUMBER
John N. Mower
21-06-0511
AD property jolntly-owned with right of survivorship must be cIisc:IosecI on Sc:IIeduIe F.
ITEM
NUMBER
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
41.
42.
43.
44.
45.
46.
47.
VALUE AT DATE
OF DEATH
$219.00
1,651.00
593.75
15,136.00
65,635.50
7,136.00
4,526.00
4,903.78
28,428.00
12,726.20
6,414.61
2,952.90
2,016.00
2,902.50
5,201.50
1,703.42
3,802.50
642.60
1,792.00
82,656.00
16,510.00
67,344.00
960.50
31,716.00
3,961.00
30,562.00
5,169.00
2,540.00
5,230.50
9,897.57
2,263.00
28,007.00
1,919.25
19,986.00
1,400.50
46,224.00
2,678.25
6,468.50
122,020.00
5,857.38
23,875.00
2,845.10
6,961.50
57,329.75
1,150.80
.04
27,400.00
DESCRIPTION
15.00
200.00
50.00
400.00
1,900.00
100.00
100.00
73.00
400.00
340.00
194.00
60.00
100.00
100.00
100.00
26.00
300.00
42.00
40.00
2,400.00
200.00
1,200.00
100.00
400.00
200.00
700.00
100.00
1,000.00
100.00
137.00
100.00
200.00
50.00
200.00
100.00
1,200.00
50.00
100.00
4,000.00
235.00
5,000.00
129.00
100.00
2,150.00
47.00
5.00
1,000.00
Shares
AGR
AHO
AV
BAX
BLS
BP
BUD
CAH
CAT
CBRL
CMCSA
CMX
CSCO
CVS
DCX
DEG
EMC
EP
EW
GE
HSC
HSY
HT
IBM
JLG
KO
LLY
LU
MET
MO
MSFT
NC
NCR
NOC
ORCL
PENN
PG
PPG
PPL
PTV
RAD
SOY
SUN
T
TEN
TFRY
TYC
II
II
11
II
II
II
II
II
II
II
TOTAL (Also enter on line 2, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
REv-I503 ex. (1-97)
SCHEDULE B
STOCKS & BONDS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
JOHN N MOWER
FILE NUMBER
2,106-0511
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
48.
49.
50.
5I.
52.
53.
54.
55.
56.
57.
58.
59.
60.
DESCRIPTION
VALUE AT DATE
OF DEATH
$9,618.00
8,033.00
30,459.24
42,284.34
4,132.50
9,502.00
3,042.50
1,388.50
266.44
6,370.35
22,937.91
621.07
1,157.82
400.00
100.00
1,134.00
1,332.00
100.00
200.00
50.00
100.00
7.89
187.75
1,877.08
9.74
52.39
Shares
UGI
UPS
VVC
VZ
WMK
WMT
XOM
XRX
BLS
GE
FKUTX
PNC
MSFT
TOTAL (Also enter on line 2, Recapitulation) $ 91 9 , 411 . 57
(If more space is needed, insert additional sheets of the same size)
PorttolIo VIew - AUL Money &, f'mance
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Symbol T Shares LastlNA V Net Change Pur. Price Gain/Loss Value Headlines Charts
. AGR 15 14.95 -0.05 N/A +224.25 224.25 ~ ~
. AHQ 200 8.35 +0.15 6.60 +350.00 1,670.00 ~ ~
. AV 50 12.07 +0.02 N/A +603.50 603.50 ~ ~
==
. BAX 400 38.11 -0.06 N/A +15,244.00 15,244.00 ~ ~
==
. BLS 1,900 34.63 -0.20 N/A +65,797.00 65,797.00 ~ ~
. BP 100 71.90 +0.82 N1A +7,190.00 7,190.00 ~ ~
. BUD 100 45.62 -0.37 N1A +4,562.00 4,562.00 ~ ~
. CAH 73 67.52 -0.21 N1A +4,928.96 4,928.96 ~ ~
. CAT 400 72.81 -0.48 36.28 +14,612.00 29,124.00 ~ ~
==
. CBRL 340 37.49 -0.12 N/A +12,746.60 12,746.60 ~ ~
. CMCSA 194 33.52 +0.19 N/A +6,502.88 6,502.88 ~ ~
. CMX 60 49.18 -0.18 N/A +2,950.80 2,950.80 ~ ~
=
. CSCO 100 20.44 -0.06 N/A +2,044.00 2,044.00 ~ ~
. ~S 100 29.24 +0.67 27.69 +155.00 2,924.00 ~ ~
. DCX 100 52.53 -0.05 45.59 +694.00 5,253.00 ~ ~
. DEG 26 66.34 +1.37 N/A +1,724.84 1,724.84 ~ ~
. EMC 300 12.89 -0.10 N/A +3,867.00 3,867.00 ~ ~
=-
. EP 42 15.48 -0.02 N/A +650.16 650.16 ~ ~
http://finance.aol.comlusw/portfolios/view?pid=2 6/4/2006
Portlolio View - AUL Money &. f'mance
.t'age L. or :>
. EW 40 45.07 +0.50 N/A +1,802.80 1,802.80 ~ ~
. GE 2,400 34.66 +0.11 N/A +83,184.00 83,184.00 ~ ~
. HSC 200 81.81 +0.60 N/A +16,362.00 16,362.00 ~ ~
. HSY 1,200 56.33 -0.67 N1A +67,596.00 67,596.00 ~ ~
. HT 100 9.80 +0.40 11.60 -180.00 980.00 ~ ~
. IBM 400 79.52 -1.17 N/A +31,808.00 31,808.00 ~ ~
. JLG 200 20.81 -0.13 N1A +4,162.00 4,162.00 ~ ~
. KO 700 43.89 -0.03 N/A +30,723.00 30,723.00 ~ ~
. LLY 100 52.03 +0.04 50.95 +108.00 5,203.00 ~ ~
. LU 1,000 2.55 -0.04 N/A +2,550.00 2,550.00 ~ ~
. MET 100 52.62 +0.48 N/A +5,262.00 5,262.00 ~ ~
. MO 137 72.85 +0.44 N1A +9,980.45 9,980.45 ~ ~
. MSFT 100 22.76 -0.06 N1A +2,276.00 2,276.00 ~ ~
. NC 200 143.86 +0.37 N1A +28,772.00 28,772.00 ~ ~
. NCR 50 38.58 -0.09 N1A +1,929.00 1,929.00 ~ ~
=-
. NOC 200 65.05 +0.26 N1A +13,010.00 13,010.00 ~ ~
. ORCL 100 14.15 -0.07 N/A +1,415.00 1,415.00 ~ ~
. PENN 1,200 38.88 -0.55 N/A +46,656.00 46,656.00 ~ ~
. PG 50 53.95 -0.53 58.31 -218.00 2,697.50 ~ ~
. PPG 100 65.21 +0.25 49.14 +1,607.00 6,521.00 ~ ~
. PPL 4,000 30.67 +0.18 N/A +122,680.00 122,680.00 ~ ~
. PTV 235 25.22 +0.01 N/A +5,926.70 5,926.70 ~ ~
=
. RAD 5,000 4.85 +0.14 N/A +24,250.00 24,250.00 ~ ~
. SOV 129 22.39 +0.06 N1A +2,888.31 2,888.31 ~ ~
. SUN 100 70.94 +0.93 61.84 +910.00 7,094.00 ~ ~
. I 2,150 26.73 -0.18 N/A +57,469.50 57,469.50 ~ ~
. TEN 47 24.82 -0.02 N/A +1,166.54 1,166.54 ~ ~
TFRY 5 0.0088 0.00 N/A +0.04 0.04 ~ ~
. TYC 1,000 27.50 -0.24 N1A +27,500.00 27,500.00 ~ ~
. UG1 400 24.11 +0.50 N/A +9,644.00 9,644.00 ~ ~
. UPS 100 81.05 +0.04 77.06 +399.00 8,105.00 ~ ~
. WC 1,134 27.04 +0.22 N1A +30,663.36 30,663.36 ~ ~
. VZ 1,332 31.94 -0.02 N/A +42,544.08 42,544.08 ~ ~
. WMK 100 42.56 -0.11 33.91 +865.00 4,256.00 ~ ~
. WMT 200 47.83 -0.56 N1A +9,566.00 9,566.00 ~ ~
. XOM 50 61.65 +0.54 65.08 -171.50 3,082.50 ~ ~
. XRX 100 13.99 -0.17 N1A +1,399.00 1,399.00 ~ ~
Arrows indicate tOOay's change. Click symbols for a detailed quote. Click column headings to re-sort data.
Notices & Tenns: Confirm all data with your broker before trading. Delays: NASDAQ - 15 mins. NYSE & AMEX - 20 mins.
Next>
Top Headlines: Agere Systems - AGR 14.95 -0.05 (-0.33%) All Headlines
6/1/06 . Agere To Supply SoC Chip Set For Sirius Radios - Dow Jones
6/1/06 . Agere Systems to Supply New, Advanced Chip Set for... - PR Newswire
5/30/06 . Agere Systems Introduces Modem Chip That Reduces D... - PR Newswire
Top Headlines: Ahold Ltd ADR - AHO 8.35 +0.15 (+1.83%) A!lHeadIi nell
6/1/06 . Dutch supermarket sales up 2.3 pet in May - Reuters
http://finance.aol.com/usw/portfolios/view?pid=2 6/4/2006
PortlolIo VIew - AUL Money & .l'mance
Page 1 of5
AOl;) money & finance
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My Portfolios Enter U.S. symbol below (Symbol Lookup) Portfolios
I I Get Quote & News ~IGoI r Uncle John
Recent Quotes LLY 51.35 -0.68 EP 15.12 -0.36 Save as Portfolio Screener I Market News I Most Active
Uncle John
Last Updated: 4:58 PM on 06/05/06 Refresh Now I r Refresl
Value: 875,420.34 GainlLoss: +817,640.84 (+1,415.11%) Today: -13,71
Portfolio Views Launch Tickl
I "My View" 3~ I. .odd Item II Edit Portfolio II Print I I Download I~
Symbol..... Shares LastlNA V Net Change Pur. Price Gain/Loss Value Headlines Charts
.. AGR""" 15 14.25 -0.70 N1A +213.75 213.75 ~ ~
.. AHO 200 8.16 -0.19 6.60 +312.00 1,632.00 ~ ~
.. AV 50 11.68 -0.39 N1A +584.00 584.00 ~ ~
.. BAX 400 37.57 -0.54 N/A +15,028.00 15,028.00 ~ ~
==
.. BLS 1,900 34.46 -0.17 N1A +65,474.00 65,474.00 ~ ~
.. BP 100 70.82 -1.08 N/A +7,082.00 7,082.00 ~ ~
.. BUD 100 44.90 -0.72 N1A +4,490.00 4,490.00 ~ ~
.. CAH 73 66.83 -0.69 N/A +4,878.59 4,878.59 ~ ~
.. CAT 400 69.33 -3.48 36.28 +13,220.00 27,732.00 ~ ~
.. CBRL 340 37.37 -0.12 N/A +12,705.80 12,705.80 ~ ~
.. CMCSA 194 32.61 -0.91 N/A +6,326.34 6,326.34 ~ ~
... CMX 60 49.25 +0.07 N/A +2,955.00 2,955.00 ~ ~
.. CSCO 100 19.88 -0.56 N/A +1,988.00 1,988.00 ~ ~
.. CW 100 28.81 -0.43 27.69 +112.00 2,881.00 ~ ~
.. DCX 100 51.50 -1.03 45.59 +591.00 5,150.00 ~ ~
.. DEG 26 64.70 -1.64 N/A +1,682.20 1,682.20 ~ Ii
.. EMC 300 12.46 -0.43 N/A +3,738.00 3,738.00 ~ ~
.. EP 42 15.12 -0.36 N/A +635.04 635.04 ~ ~
http://finance.aol.com/usw/portfolios/view?pid=2 6/5/2006
YOmOllO VIeW - AUL Money &:. l'mance
Yage 1. ot :>
. EW 40 44.53 -0.54 N/A +1.781.20 1,781.20 ~ ~
=
. G~ 2,400 34.22 -0.44 N1A +82,128.00 82,128.00 ~ ~
. HSC 200 78.29 -3.52 N1A +15,658.00 15,658.00 ~ ~
. HSY 1,200 55.91 -0.42 N/A +67,092.00 67,092.00 ~ ~
. HT 100 9.41 -0.39 11.60 -219.00 941.00 ~ ~
. IBM 400 79.06 -0.46 N/A +31,624.00 31,624.00 ~ ~
. JLG 200 18.80 -2.01 N1A +3,760.00 3,760.00 ~ ~
. KO 700 43.43 -0.46 N/A +30,401.00 30,401.00 ~ ~
. LLY 100 51.35 -0.68 50.95 +40.00 5,135.00 ~ ~
. LU 1,000 2.53 -0.02 N1A +2,530.00 2,530.00 ~ ~
. MET 100 51.99 -0.63 N/A +5,199.00 5,199.00 ~ ~
. MO 137 71.64 -1.21 N/A +9,814.68 9,814.68 ~ ~
. MSFT 100 22.50 -0.26 N/A +2,250.00 2,250.00 ~ ~
. NC 200 136.21 -7.65 N1A +27,242.00 27,242.00 ~ ~
. NCR 50 38.19 -0.39 N/A +1,909.50 1,909.50 ~ ~
. NOC 200 64.81 -0.24 N/A +12,962.00 12,962.00 ~ ~
. ORCL 100 13.86 -0.29 N/A +1,386.00 1,386.00 ~ ~
. PENN 1,200 38.16 -0.72 N/A +45,792.00 45,792.00 ~ ~
. PG 50 53.18 -0.77 58.31 -256.50 2,659.00 ~ ~
. PPG 100 64.16 -1.05 49.14 +1,502.00 6,416.00 ~ ~
. PPL 4,000 30.34 -0.33 N1A +121,360.00 121,360.00 ~ ~
. PTV 235 24.63 -0.59 N/A +5,788.05 5,788.05 ~ ~
. RAD 5,000 4.70 -0.15 N1A +23,500.00 23,500.00 ~ ~
. SOV 129 21.72 -0.67 N/A +2,801.88 2,801.88 ~ ~
. SUN 100 68.29 -2.65 61.84 +645.00 6,829.00 ~ ~
. I 2,150 26.60 -0.13 N/A +57,190.00 57,190.00 ~ ~
. TEN 47 24.15 -0.67 N/A +1,135.05 1,135.05 ~ ~
=
TFRY 5 0.0088 0.00 N/A +0.04 0.04 ~ ~
=
. TYC 1,000 27.30 -0.20 N/A +27,300.00 27,300.00 ~ ~
. UGI 400 23.98 -0.13 N/A +9,592.00 9,592.00 ~ ~
. UPS 100 79.61 -1.44 77.06 +255.00 7,961.00 ~ ~
. WC 1,134 26.68 -0.36 N1A +30,255.12 30,255.12 ~ ~
. vz 1,332 31.55 -0.39 N/A +42,024.60 42,024.60 ~ ~
. WMK 100 40.09 -2.47 33.91 +618.00 4,009.00 ~ ~
. WMT 200 47.19 -0.64 N1A +9,438.00 9,438.00 ~ ~
. XOM 50 60.05 -1.60 65.08 -251.50 3,002.50 ~ ~
. XRX 100 13.78 -0.21 N/A +1,378.00 1,378.00 ~ ~
Arrows indicate today's change. Click symbols for a detailed quote. Click column headings to re-sort data.
Notices & Terms: Confirm all data with your broker before trading. Delays: NASDAQ - 15 mins. NYSE & AMEX - 20 mins.
Next>
Top Headlines: Agere Systems - AGR 14.25 -0.70 (-4.68%) All Headlines
7:40 AM . NEC Chooses Agere Systems Network Processor-Based ... - PR Newswire
7:39 AM . Agere Systems Launches TrueONE(TM) for Delivering ... - PR Newswire
6/1/06 . Agere To Supply SoC Chip Set For Sirius Radios - Dow Jones
Top Headlines: Ahold Ltd ADR - AHQ 8.16 -0.19 (-2.28%) All Headlines
6/1/06 . Dutch supermarket sales up 2.3 pct in May - Reutflrs
http://fmance.aol.com/usw/portfolios/view?pid=2 6/5/2006
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BELLSOUTH
380.40.1 0041592008320.2
BellSouth Direct Investment Plan
Statement of Account Page 1 of 1
0041592 02 M 0.545 HAUTO T8 0 3824 17055-741507
JOHN MOWER
128 W PORTLAND ST UNIT 7
MECHANICSBURG PA 17055-7415
STATEMENT PRINT DATE:
CUSIP:
SYMBOL:
ACCOUNT KEY:
INVESTOR ID:
. BROKER DEALER:
BROKER ID:
BROKER DEALER ACCOUNT NUMBER:
0.8/0.7/2006
001-752-07986010.
BLS
MOWER--JOHN-OOOQ
806441770297
111,111,11111""1,1"1,1,1",1,1,,111,11,1,1,1111,1,,,11,,1,1
See important information on other side.
Access your account online at www.melloninvestor.com/isd
BALANCE
0.1105106 CASH INVSTMNT
0.210.1/06 DIV INVESTED
0.5101/06 DIV INVESTED
08101/06 DIV INVESTED
100.00
2.23
2.26
2,28
0..00
0..00
0..00
0..00
100.00
2.23
2.26
2.28
0..0.3
0..00
0..00
0..00
27.593 27.603
27.839 27.849
33.295 33.305
37.223 37.233
3.6241
0..0.80.1
0..0679
0..0613
4.0601
7.6842
7.7643
7.8322
7.8935
Please see information about the Merger and BellSouth Stock Certificates on the reverse side of this statement.
~ DETACH HERE AND SEE OTHER SIDE FOR MAILING ADDRESS DROBl06
- ~~~~-~~~~----------- --------------------------------~--------------------------------------------------------------------------~
BELLSOUTH Partial Withdrawal: (Continue Plan Participation) Optional Cash Investment:
(see address on other side)
Write the amount enclosed &
make check payable to:
BellSouth
(Minimum payment $50.)
CUSIP: 001-752-07986010
ACCOUNT KEY: MOWER----JOHN-OOOO
JOHN MOWER
126 W PORTlAND ST UNIT 7
MECHANICSBURG PA 17055-7415
Issue a certificate for this
number of shares.
Sell this number of shares.
Full Withdrawal: (Terminate Plan Participation)
All owner(s) must sign and date above
( )
Daytime Contact Number
'0
D
Issue a certificate for all full shares
and a check for fractional shares.
Certificate Safekeepingl
Book-entry:
Deposit this number of
shares into my Plan account.
Sell all Plan shares.
7575
806441770297
00175207986010MOWER----JOHN-0000IR00186
STATEMENT
---
FRANKLIN TEMPLETON
INVESTMENTS
AT 01 214083 25647B1201A**3DGT
Year-End Asset Summary
January 1,2006 - December 31,2006 Pagel of 1 *
Financial KAHLBAUGH, KARIN A.
Advisor: FINANCIAL NETWORK INV CORP
JOHN N MOWER
C/O PHYLLIS L BAUMGARDNER
508 BRIGHTON PL
MECHANICSBURG PA 17055-5483
I" ,111...111." .1.1" 1,1 ,,1.1.,1..11..1,"11.11. ,,1'11..11111
Cnstomer frankllntempleton.com
Service: Shareholder Services 1-800/632-2301
TDD (Hearing Impaired) 1-800/851-0637
Mailing
Address:
100 Fountain Parkway
PO Box 33030
St. Petersburg, FL 33733-8030
Franklin Utilities Fund - Class A
NASDAQ Symbol: FKUTX
Fund-Account Number:
Asset Summary Number:
107-70182808708
02522137
Year-to-Date Summary: Income Dividends:
Long-Term Capital Gains:
$379.16
$0.00
Transaction Details
DATE
01-01-06
03-01-06
06-01-06
06-30-06
TRANSACTION
BALANCE FORWARD
DIV PAID OUT 0.1010
DIV PAID OUT 0.1010
TRANSFER TO 70186854239
DOLLAR AMOUNT SHARE PRICE SHARES TOTAL SHARES
$22,093.22 $11.77 1,877.079
$189.58 $12.16 0.000 1,877.079
$189.58 $12.08 0.000 1,877.079
$22,937.91 $12.22 1,877 .079- 0.000
Shareholder Information
The enclosed Investor Topics newsletter contains important information to help with your tax preparation.
;;;;;:
=
-
-
-
-
;;;;;:
-
-
-
-
;;;;;:
134
Purchases can also be made online at franklintempleton.com.
Please make your check payable to:
DEPOSIT SLIP
Franklin Utilities Fund - Class A
Fund-Account Number: 107-70182808708
JOHN N MOWER
C/O PHYLLIS L BAUMGARDNER
508 BRIGHTON PL
MECHANICSBURG PA 17055-5483
Amount Enclosed:
I $
o Check here and complete reverse side if changes are necessary for:
. Address . Distribution Options
001 000070182808708 107 100
FRANKLIN TEMPLETON INVESTMENTS
PO BOX 33030
ST PETERSBU RG FL 33733-8030
1"11,,, 11.1...1 ,,1111111.1,,1.111111.11,11. ""11.11.,, 111111
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0PNC
+
Computers hare Trust Company, Inc.
250 Royall Street
Canton Massachusetts 02021
Within the US, Canada & Puerto Rico 800 982 7652
Outside the US, Canada & Puerto Rico 312 360 5235
The PNC Financial Services Group
009278
IIMPORTANT TAX RETURN DOCUMENT ENCLOSEDI
JOHN MOWER
128 W PORTLAND ST 7
MECHANICSBURG PA 17055-7415
11../111.11/111.11./..1.1.1..1/11.,/1..1/,1,1,111..1..,//../.1
Holder Account Number
C 0000605051 INO
1m "II U" I" """"
SSNfTlN Certified
Symbol
Yes
PNC
001 CSOOO6_RPS.DL TX.PNC. 1 5648_88921009278/01 0527/i
If you want to make an optional cash purchase at this time, please make your check payable to Computers hare.. .RJease write your Holder Account
"lumber and the Company name on the check or on your cover letter. Please send your check to: Computershare, P.O. Box 6006, Carol Stream, IL
( J197-6006.
Transaction History
Trade Date I
From: 03 Jan 2006
To: 24 Jan 2007
Fair Market Tax Basis Purchase
Transaction I Transaction I Deduction I Deduction I Net I Price Per I of Shares I Price Per I Transaction
Description Amount ($) Amount ($) Type Amount ($) Share/Unit ($) Acquired Share/Unit ($) Shares/Units
Plan Transactions Drip-Common Stock
03 Jan 2006 Balance Forward
13 Ocl 2006 Transfer
0.00
9.741806
-9.741806
Summary of Holdings
Date: 24 Jan 2007
Certificated I Direct Registration/I Dividend I Total/ Closing Price I
Shares/Units 80 k Shar s/U it Reinvestm~nt Shar s/Units Per Share/Unit
Held By You 0 ens Shares/Units e ($)
0.000000 0.000000 0.000000 0.000000 73.700000
Class Description
Value ($)
Drip-Common Stock
~
.
01CD40019
0.00
OOH5JA
43UDR
I'iW'~IMbJ';\R(_illllllllllllliil~:'1
....,lr..di:".' ,'. r.... ."......~.. "",;,,:." ....,.. "'"..... . ..' .........:."""".
Please see important PRIVACY NOTICE on reverse side of statement
+
PNC
42120100153300061948
'@
Shareholder Of:
Page 1 of 2
Mellon Investor Services
A Mellon FinClncial ComfJan'y'M
P.O. Box 3338
South Hackensack, NJ 07606-1938
MICROSOFT CORPORA liON
INVESTOR SERVICES PROGRAM
STATEMENT PRINT DATE: 12/19/2006
CUSIP: 001-031-59491810
SYMBOL: MSFT
ACCOUNT KEY: MOWER--JOHN-OOOO
INVESTOR 10: 806441770297
001533001 AT 0.308 "AUTO T3 2 1227 17055-741507 C01 BTWAI -1
1...111...111....1.1..1.1.1...1.1..1...11.1.1.11...1...11..1.1
JOHN MOWER
128 W PORTLAND ST 7
MECHANICSBURG PA 17055-7415
FOR QUESTIONS CONCERNING YOUR ACCOUNT PLEASE CALL
1-800-285-7772.
Year- To-Date Account Summary
Save this Statement for Tax Purposes
AS OF: 12/1512006 CASH DIVIDENDS NET AMOUNT
TOTAL: MA!~KET-VAl\jE(5t1 CLOSING PRICE (S) . jt-N.eSlPttENT~ ") T~TAl (Sl I TAX WITHHELD (S) I AMOUNT TO INVEST (S) INVESTED (S)
I - I I - .- ..
1,592.37 30.1900 19.35 19.35 19.35'
TRADING FEES PAID BY (S) SERVICE FEES PAID BY (S) SALE OF PLAN SHARES (S) CERTIFICATED SHARES HELD SHARES HELD BY TOTAL
COMPANY ~HAREHOlDE~ COMPANY ISHAREHOlDER GROSS PROCEEDS I TAX WITHHElD SHARES HELD BY YOU BY PLAN OTHER PLAN(S) SHARES
I I I 52.7450 52.7450
(
Current Activitv Information
RECORD DATE TRANSACTION DIVIDEND SHARES ACQUIRED CASH TOTAL
PAYABLE DATE DESCRIPTION RATE OR WITHDRAWN INVESTMENT ($I GROSS (5)
11/1612006 COM\t1ON DIVIDEND 0.1000000 0.1761 5.26'
12/1412006
PARTICIPATING RECORD DATE DISTRIBUTION
TAX TRAIlING FEES PAID BY (SI SERVICE FEES PAID BY (S) TOTAL CERTIFICATED SHARES SHARES HELD SHARES HELD BY TOTAL
WITHHELD (S) COMPANY """""""'R COMPANY _HOUIER NET(S) HELD BY YOU BY PlAN OTHER PLAN(S) SHARES
5.26 52.5689 52.5689
Year- To-Date Transaction Detail
DATE TRANSACTION CASH NET TRADING SERVICE AMOUNT PRICE PER SHARES ACQUIRED SHARES HELD
DESCRIPTION INVESTMENT (S) DISTRIBUTION (S) FEES (S) FEES (S) INVESTED (S) SHARE (S) OR WITHDRAWN BY PLAN
BALANCE FORWARD 52.0038
03109/06 COM\t1ON DIVIDEND 4.68 4.68 27.2980000 0.1714 52.1752
06108106 COMMON DIVIDEND 4.70 4.70 22.1015000 0.2127 52.3879
09/14106 COMMON DIVIDEND 4.71 4.71 26.0265877 0.1810 52.5689
12/14/06 COM\.1ON DIVIDEND 5.26 5.26 29.8660000 0.1761 52.7450
----------------------------------------------------------------------------------------------------------------------------------
MICROSOFT CORPORATION
CUSIP: 001-031-59491810
ACCOUNT KEY: MOWER--JOHN-OOOO
JOHN MOWER
128 W PORTLAND ST 7
MECHANICSBURG PA 17055-7415
Partial Withdrawal (Continue Plan Participation)
Additional Cash Investments
Issue a certificate for this
number of shares:
I
L
Write the amount enclosed:
Sell this number of shares;
Make check payable to:
MELLON BANK, N.A.
EFFECTIVE DEC 1ST, THERE IS NO
MAXIMUM LIMIT ON OPTIONAL CASH
INVESTMENTS. MINIMUM REMAINS $50.
Full Withdrawal (Terminate Plan Participation)
AI oWler(s) must sign and date above
( )
Contact Nurriler
D
D
Issue a certificate for all full shares
and a check for fractional shares.
Deposit of Certificates
Deposit the enclosed number
of shares:
c
J
Sell all plan shares.
7575
806441770297
00103159491810MOWER----JOHN-0000IR00156
D Cerlificate Transaction - D DIVIDEND ELECTION
Mark this box III1d (Mark Ihls box snd IIIso
camp/file the other side election box beI-J
of form. Do nol Sign
the Certificalll(s) D Rein"".t All
Addilioflll' PurdtaSll - Dividends
0 Automatic Monlhly
Olldur:1ions. Mark Ihls 0
box snd camp/file lhe Pay Cllsh
other sideot form. DIvidends
0 Address Change 0 Reinvest DIvidends on
Mark this box snd comp/ete Shares snd
the other side ot form P8yCiiiJi DIvidends
L on Remllining Shares
DATE
..
800-STOCK-GE (800-786-2543)
http://~tockbny.com/ge
G E-Shareowners@bankofny.com
GE STOCK DIRECT
P.O. Box 19552, Newark, NJ 07195-0552
1...111...111....1.1..1.1.1...1.1..1...11.1.1.11...1...11..1.1
............AUTO.. 3-DIGIT 170
JOHN MOWER
128 W PORTLAND ST 17
MECHANICS BURG PA 17055-7415-07
Company Number
Account Number
Current Dividend
Record Date
Payment Date
2206
0646470807
46.59
02/27/06
04/25/06
Shares Held By You
In Certificate Form
CURRENT DIVIDEND REINVESTMENT INFORMATION
Shares Held On Record Date For Reinvestment
+ PI:Ad~~~~a~r =
Taxes
WIlhheld
Gross Dividends
Paid
Ralll
TolaI Plan Shares
.0000
186.3783
186.3783
.250000
46.59
IIlsaction Dale
YEAR-TO~OATE THANSACTIONS
Less:
Transaction
Fee
Transaction Shares
Net Transaction
DoHars
Price Per
Share
Transaction Description
Transaction Donars
0/26/05
2/28/05
1/25/06
V25/06
BALANCE FORWARD
OPTIONAL CASH
PLAN DIVIDEND
PLAN DIVIDEND
203.00
44.83
46.59
3.00
200.00
44.83
46.59
35.0550
32.9250
33.9300
5.7053
~616
.(6 {t/i/.3731
\f'l
{
MPORTANT NFORMATION ENCLOSED. PLEAS READ.
See reverse side for Imponllnt Information.
. DETACH HERE .
TRANSACTION REQUEST FORM - PLEASE KEEP THIS FORM FOR FUTURE REQUESTS
D
D
Sell Plan Shares (Enter Number of Whole sileres)
II "All" Is entered, Participation In the plan will be
termiflllted. Shares will be sold subjec:\ to lhe
Terms end Condillons Dalalled In the Plan.
Issue Plan Shares (Enler Number ot Whole sheres)
If "All" Is entered, Parllc:ipalion in the plan will be '
termiflllled. A Cllrlificate will be issued in
Regist,ned holder(s) name.
OJJTIIJ
OJJTIIJ
~
Oplionsl Cash Contribution Amount Enclosed
- All Payments must be in U.S. DollarsGO]' '[II] ":, , .OJ
Drewn on 8 U.S. Bank end Payable 10
The Bank of New York.
L REQUESTS MUST SIGNATURE
E SIGNED BY ALL
31STERED OWNERS
SEQ# 0124107
Net DoHars
Reinvested
.00
46.S9
T olal Shares
Held by Administrator
179.3114
185.0167
186.3783
187.7514
~.
SIGNATURE
(MAKE NO MARKINGS BELOW THIS LINE)
2206
1002
0646470807
5
00000001000
REV-15C': EX+"-"7) '_~
.,~>~
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
JOHN N MOWER
FILE NUMBER
2106-0511
Indude the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
2.
3.
4.
5.
Misc. home furnature, fixtures and other items
sold at auction.
Guns
Misc home furnishings
1998 (?) Lincoln
IRA
$442.00
1,225.00
1,725.00
5,900.00
36,441.00
TOTAL (Also enter on line 5, Recapitulation,) $ 44 508 00
, .
(If more space is needed, insert additional sheets of the same size)
~-
.
.
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," . ',-; .. . ....... ;........,..'.
. . , -.' .' . . -.-. ,......
MICHAEL.D.COHWAY
,Ebl~BETH~COHVlfAY
1871 MANOR RD.
YORK, PAl1406-8634
1792
. -.- .. ~
~~""
,-" "-' -'.:' : '.. .. -.-:_ . , .. ,Co. _ ,_ '.,. ....,,' .- '.' . _.
.- "', ," '. '.'..:.,':,',-"::-: ,',,".'..', -" ....-_..
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............................t~
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t-' ~,~ . ..... ," ,,' . ~ . . ......... . .'
r~~1V~~~,
Date~ t~ ~~ ·
. 3~76r5/360
.,.320 .
Pay to the
oroerof
. 1$
.~O().
. ~C( 00 . Qt).
"-:-", '. -,. . ':',;' --. .""::. ',,-:':-..,
'DC;ittzensBahk"
~eni15ylvai1ia .
. '. '.
", ,-- ,'..
Cjtiz~ns Circle Account
Dollars
ill, ::~::-:
"','- """'- .:_.--:
! :~~~"
;148 (2) UvCOuJ
Send Inquires to:
5000 Louise Drive
PO Box 40
Mechanicsburg, PA 17055
www.members1et.org
Main Switchboard: (717) 697-1161 or (800) 283-2328
EZ Call: (717) 697-4372 or (800) 283-4372
TOO: (717) 697-5312 or (800) 283-2328 ext. 5312
TeleBranch: (717) 795-6049 or (800) 237-7288
Statem~nt of Accounts
MEMBERS 1st
FEDERAL CREDIT UNION
20848 1 SP 0.390
-
-
-
-
----
~
-
-
-
-
-
-
-
Jun 01, 2006 thru Jun 24, 2006
Account Number:
36
68569-20848
Account Balances at a Glance:
Checking: 0.00
Savings: 7,525.00
Certificates: 166 I 441 .01
Loans: 0.00
Money Management: 0 . 00
JOHN N MOWER
CIO PHYLLIS BOMGARDNER
508 BRIHTON PL
MECHANICSBURG PA 17055
l
Page: 1 of 3
Your current Member Loyalty Reward level is Titanium
Please read the enclosed insert regarding the change in statement date.
production beginning June 2006.
SAVINGS ACCOUNTS
00 - REGULAR SAVINGS
) Date
Jun 01
Jun 09
Jun 19
Jun 24
/
Date
Jun 01
Jun 24-
Transaction Desaiotk,n
Balance Forward
Joint Owner: PH'f'LLlS L BAUMGARDNER
Withdrawal
Deposit
. LIFE INSURANCE PROCEEDS MOWER 36
Ending BalariCe' . . .... '.. "., .
Additions Subtractions
Balance
79.54
25.00
3,525.00
54.54-
3,500.00 .
, ".-,,~^
05 - MONEY MANAG.EMENT
Date
Jun 01
Jun 09
I Jun 09
Jun 09
Jun 24
TransactiOn. Desai lion
Balance' Forward
Joint OWner: PHYLLIS L BAUMG
Withdrawal Transfer
. To. BAUMGARDNER ,PHYL
Deposit ..
Withdrawal Transfer
. .>.; to S:rATIiOF
Endirig
CERTIFICATE'ACCOUNTS .
15 - 60 MO~THf~.CER:rIf:ICA:rJ;Ma:(ufiiYt>ate -Apr: 02, 201.0
Date
Jun 01
M1ST01
-- - Continued on following page ___
REV-l509 f"'~
...
SCHEDULE F
JOINTLY-OWNED PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
JOHN N MOWER
FILE NUMBER
2106-0511
If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G.
SURVIVING JOINT TENANT(S) NAME
ADDRESS
RELATIONSHIP TO DECEDENT
A. PHYLLIS L BAUMGARDNER
508 BRIGHTON PLACE
MECHANICSBURG, PA 17055
SISTER
B.
c.
JOINTLY-OWNED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH
ITEM FOR JOINT MADE Include name of financial institution and bank account number or similar identifying number. Attach DATE OF DEATH DECD'S VALUE OF
NUMBER TENANT JOINT deed for joinUy-held real estate. VALUE OF ASSET INTEREST DECEDENT'S INTEREST
1. A. 1995 Members 1st Federal Credit Union $214,128.58 50 $107,064.
Acct # 36
2. Citizen's Bank 8,442.63 50 4,221.
Acct # 610089-425-8
TOTAL,(Also enter on line 6, Recap~ulation) $111,285.60
29
31
(If more space is needed, insert additional sheets of the same size)
st
Send Inquires to:
5000 Louise Drive
PO Box 40
Mechanicsburg, PA 17055
www.members1st.org
Main Switchboard: (717) 697-1161 or (800) 283-2328
EZ Call: (717) 697-4372 or (800) 283-4372
TOO: (717) 697-5312 or (800) 283-2328 ext. 5312
TeleBranch: (717) 795-6049 or (800) 237-7288
Statement of Accounts
Jun 01, 2006 thru Jun 24, 2006
Account Number:
36
MEMBERS 1st
FEDERAL CREDIT UNION
20848 1 SF 0.390
68569-20848
Account Balances at a
Checking:
Savings:
Certificates:
Loans:
Money Management:
Glance :
0.00
7,525.00
166,441.01
0.00
0.00
-
-
-
-
-
-
-
-
-
-
JOHN N MOWER
CIO PHYLLIS BOMGARDNER
508 BRIHTON PL
MECHANICSBURG PA 17055
~
Page: 1 of 3
Your current Member Loyalty Reward level is Titanium
Please read the enclosed insert regarding the change in statement date.
production beginning June 2006.
SAVINGS ACCOUNTS
00 - REGULAR SAVINGS
Jun 24
Transaction DeScriD40n
Balance Forwatri .
Joint Owner: PHYLLIS L BAUMGARDNER
Withdrawal
Deposit",:".,
. LIFE I . NeE PROCEEDS MOWER 36
EnditJg.Bala:!'; ;.1' ... !f
Additions
Balance
79.54
25.00
3;525.00
~ Date
Jun 01
I
Jun 09
Jun 09
Jun 19
/
05 - MONEY MANAGEMENT
Date
Jun 01
Jun 09
Jun 09
Jun 24
Date
Jun 01
~,'.~ "f:,'",;;t. -'.
" ,;" _:,' ,.' _: ,'. -'~
M1ST01
M~'
~~
Date
Jun 24
68570-20148
Jun 01, 2006 thru Jun 24, 2006
Account Number: 36
Page: 2 of 3
Transaction Description
Ending Balance
Additions
Subtractions
Balance
36,441.01
16 -IRA SAVINGS
..
N_
-
N_
;;;;;;;;;;;;;;;
-
ex>
.....
Date
Jun 21
Jun 24
Transaction DescriPtion
Balance Forward
Joint Owner: PHYLLIS L BAUMGARDNER
Ending Balance
Additions
Subtractions
Balance
0.00
0.00
41 - 24 MONTH BUMP-UP CERT Maturity Date - Dee 20, 2006
0_ te
.. 'Jun 01
Jun 24
Transaction Descri tion
Balance Forward
Joint Owner: PHYLLIS BAUMGARDNER
Ending Balance
Additions
Subtractions
Balance
10,000.00
10,000.00
_ 42 - 24 MONTtfBUMP-UP CE~T
I Date
Jun01
Transaction Description
EWance Forward
Joint Owner: PHYLLIS L BAUMGARDNER
Ending Balance
43- 24 MONTR:'i30MP;.UPCEfn' Maturity Date'" Feb 10,2007
Jun 24
Maturity Date - Dee 28, 2006
Additions
Subtractions
/r;;~e01
Jun 24
} 45~:Z~'MONfil":BGMP-UP C1:RT Maturity Date - Jul 08, 2007 ,'.
Subtractions
/
M1ST02
-- - Continued on reverse side ---
Balance
10,000.00
10,000.00
Balance
10,000.00
10,000.00
'Balance
"\,10;000.00
. '
~~ Citizens Bank
1-800-773-7373
Call Citizens' PhoneBank anytime for account information,
curfl!nt rates and answers to your questions.
US259 BR292
16
JOHN N MOWER
128 W PORTLAND ST UNIT 7
MECHANICSBURG PA 17055-7415
1
Circle Gold
Account Statement
o OF 5
Beginning May 12, 2006
through June 13, 2006
Contents
Summary
Checking
Check Images
Page 1
Page 2
Page 4
Circle Gold Summary
Account
Account Number
Blllnce
This Statement
DEPOSIT BALANCE
Checking
Circle GoLd Checking Hi Interest
610089-425-8
-(
MonthLy combined balance to waive monthLy fee Is
Your monthLy combined balance this statement period is
Member FDIC @Equal HOUSing Lender
See reverse side for important information
Balance
List Statement
70,145.77
21,554.67
20,000.00
66,590.57
JOHN N MOWER
PHYLUS L BAUMGARDNER
Circle Gold Checking HI Interest
610089-425-8
e
e
Totll Deposit Balanc.
21,554.67
Total R.lltionship Bllance
21,554.67
RJ;V-1510 EX + (1-97)
'*
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
JOHN N MOWER
FILE NUMBER
2106-0511
This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes.
DESCRIPTION OF PROPERTY %OF
ITEM INClUDE THE NAME OF THE TRANSFEREE. THEIR RElATIONSHIP TO DECEDENT AND THE DATE OF TRANSFER DATE OF DEATH DECD'S EXCLUSION TAXABLE VALUE
NUMBER ATTACH A COPY OF THE DEED FOR-REAL ESTATE. VALUE OF ASSET (IF APPlICABLE \
INTEREST
1. Phyllis L Baumgardner, sister $12,000.00 1.0 $3000.00 $9,000.
June 2, 2006
2. Thomas R Baumgardner, nephew 12,000.00 1.0 3000.ob 9,000.
June 2, 2006
3. Dianne M Baumgardner, niece 12.,000.00 1.0 3ooo.ob 9,000.
June 2, 2006
4. Debra M Capasso, niece 12,000.00 1.0 3000.0 0 9,000.
June 2, 2006
5. John J Baumgardner, nephew 12,000.00 1.0 3000.0 0 9,000.
TOTAL (Also enter on line 7, Recapitulation) $45,000.00
01
O(
Ol
Ol
01
(If more space is needed. insert additional sheets of the same size)
REV-1511 EX+ (12-99) _
'*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
JOHN N MOWER
FILE NUMBER
2106-0511
Debts of decedent must be reported on Schedule 1.
ITEM
NUMBER
A.
DESCRIPTION
AMOUNT
1.
FUNERAL EXPENSES:
Myer's Funeral Home
Cumberland Valley Memorial Gardens
Reception
Cumberland Valley Memorial Gardens
$7,400.00
1,150.00
71.43
626.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Social Security Number(s)/EIN Number of Personal Representative(s)
Street Address
City
State _ Zip
Year(s) Commission Paid:
2. Attorney Fees
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City
State _ Zip
Relationship of Claimant to Decedent
4.
Probate Fees
900.00
5. Accountant's Fees
6. Tax Return Preparer's Fees
7.
TOTAL (Also enter on line 9, Recapitulation) $ 1 0 . 1 47 _ 4 '=!
(If more space is needed, insert additional sheets of the same size)
REV-1512 EX+ (12-03)
'*'
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
JOHN N MOWER
FILE NUMBER
2106-0511
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
West Shore EMS
Alert Pharmacy
Comcast
TR Baumgardner
United Water
PPL
Condo fees
Brenda Marzolf
Eire Insurance
Mechanicsburg Sewer
Barry Heckert Tax Collector
PPL
United Water
The Sentinal (legal notice)
TR Baumgardner
Condo sale settlement costs
Buyer assistance
Pre-paid condo fees
Condo fees
Cumberland Law Journal
check fees
PPL
United Water
Condo Fee
Erie Insurance
2006 Federal Income Tax
2006 PA State Income Tax
$ 43.27
75.81
47.87
22.50
6.76
29.65
75.00
275.00
69.00
65.00
945.14
23.71
11.08
122.51
117.77
835.00
2,000.00
(1,005.62)
75.00
10.75
28.24
6.76
6.46
25.00
(71.36)
205.00
567.00
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
4,612 ~n
,
REV-1513 EX+ (9-00)
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
JOHN N MOWER
FILE NUMBER
2106-0511
NUMBER
I
RELATIONSHIP TO DECEDENT
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s)
TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under
Sec. 9116 (a) (1.2)]
Phyllis L Baumgardner Sister
508 Brighton Place
Mechanicsburg,PA 17055
1.
AMOUNT OR SHARE
OF ESTATE
100%
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
IT NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1. .
SalvatIon Army
2. Salvation Army
3. Salvation Army
06-23-06
06-27-06
07-05-06
$265.00
337.00
252.00
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ 854.00
(If more space is needed, insert additional sheets of the same size)